Two cases of chondrosarcoma of the hyoid bone are described. They were managed with surgical resection and postoperative radiotherapy. These patients are disease free at 26 months and 15 months respectively.

Many different congenital malformations of the external ear are encountered in otology and plastic surgery practice. However, there has been only one report in the literature of reverse (convex) conchal deformity in otherwise normal ears. Eight such cases were encountered in the combined otology and plastic surgery practice at the authors’ institution. The condition was bilateral in two patients and unilateral in six patients; these patients had no other otological abnormalities. Two patients sought surgical correction. Modified conchoplasty, done by excising and replacing the conchal cartilage in reverse fashion, is presented. Controversies surrounding the embryogenesis of concha are also addressed.

Lymphangiomas are uncommon developmental anomalies, and lymphangioma of the tongue, although relatively rare, is the most common cause of macroglossia. 1 The usual clinical manifestations of macroglossia are airway obstruction, noisy breathing, difficulty in chewing/swallowing, drooling, mandibular prognathism, slurred speech, dry/cracked tongue, ulcerating secondary infection and hemorrhage. 2 We present a case in which massive enlargement of the tongue presented in acute upper airway obstruction and led to emergency tracheostomy; a further presenting feature was the absence of surface lesions on the massively enlarged tongue as well as associated Plummer-Vinson (PV) syndrome.

Malignant transformation of respiratory papillomata is not uncommon in the presence of precipitating factors such as tobacco smoking and therapeutic irradiation. Respiratory papilloma changing to carcinoma in the absence of smoking and irradiation is seldom seen, with only about 20 documented cases presented in the literature. Here we report one such case in a 30-year-old male patient.

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